Syphilis/gonorrhea?

[diddy123]

hi,

i posted a few days ago; this is a new question on the same topic.  i'd REALLY appreciate an answer (not about aids paranoia anymore)...

from the encounter from before (mutual oral 5 1/2 months ago; i went to orgasm, the ts who i was performing on did not), i got my syphilis results back - neg.  this was at 24 weeks.  i know this is reliable.  i got two negative hiv results at 21 weeks; i'm assuming they're reliable too.

1) is there any risk from this enocunter for gonorrhea/chlamydia, given that i've had no symptoms in this interval?  i know from the archives that i didn't get chlamydia from the transsexual from receiving oral; could i have gotten it from giving (without any ***, and I think without precum)?

2) what about hepatitis?  i have a test on this for which i'm awaiting results.  is it possible to transmit hep in this manner (oral sex was not rough at all; strongly assuming no blood was involved on either end).

3) in absence of symptoms, should I test for anything else?

4) in a worst case scenario, if i'm found to have chlamydia/gonorrhea, should i retest for hiv?  i know tramsmission likelihood goes up higher when the person has another std... would a 6 month be warranted (do either of these infections cause the hiv test to be less accurate)?

thanks a TON.

[H. Hunter Handsfield, M.D.]

My guess is that there has never been a proved case of HBV transmission by oral sex. That doesn't prove it can't happen; but if it does, it is uncommon.  I don't know what "sfcc" is--but my guess is they are making assumptions about oral-genital HBV transmission, not citing firm data.

HHH, MD

[monkeyflower]

I forgot. If you do test positive for HBV (and if you do, I'm positive it's not from the encounter you describe), you don't have to retest for HIV. I'm not sure why you'd think you would. HBV is more likely to become chronic in someone who is HIV positive, but that's about it.

[wwarrior]

Please read my 3/08/06 posting at:

http://www.medhelp.org/forums/STD/messages/2622.html

It's up to you. You decide when to let go...

[diddy123]

thanks for the link.

do you know about the transmission of hep b via oral (seems like i would need semen or pre-semen; how likely is it to have been there when the person did not ejaculate at all and when i touched the penis after the last contact with my mouth it was dry?).  also, if i test positive for hep b, would i need to retest for hiv?

[monkeyflower]

Oral is pretty safe for all STDs, so most people are comfortable having unprotected oral (I don't know *anyone* who uses condoms/dental dams for oral). As for HBV specifically, while I guess it's possible to contract HBV from oral, it's pretty darn rare. You definitely have nothing to worry about, especially without any semen. HBV doesn't just leap out of your body, lol.

If you're this freaked about HBV, why not get vaccinated? Then you don't have to worry about it ever again :-)

[diddy123]

what i'm most worried about: can i have gotten hep b assuming i did not come into contact with any *** or precum during oral sex?

[diddy123]

ok, i had heard a rumor that coinfection with hiv/hbv slows the time that the hiv test can detect - i guess that's not true?

also, if anyone has ANY idea on this...

the ts person i was with was very small genitally, and had a very thin penis, though it seemed erect.  is it possible she was nonfunctional (and i'm assuming then couldn't ***/precum)?

[diddy123]

edit: i'm reading at a bunch of different places this sounds like someone who is on hormones, and their ability to orgasm is severely lessened... would it follow that their ability to precum would be much less or even nil?

[diddy123]

thanks to all for the help.

other places list hep b from oral in the same vein as hiv from oral - small, but possible - like the sfcc (and given how much more infectious hep b apparently is, i'd assume somewhat more).  is this not accurate?

[H. Hunter Handsfield, M.D.]

1) Zero risk for chlamdia from oral sex and low for gonorrhea.  If you had gonorrhea you would have had symptoms; and anyway gonorrhea almost always clears up on its own within 3-4 months.  So even it you had it, it is gone now.

2) To my knowledge, hepatitis B is not transmitted at all by oral sex.  Hepatitis C is virtually zero risk.  Conceivably small risk of hep A, but if you had it, it has cleared up on its own by now.

3) No, you do not need testing.

4) Irrelevant question; you don't have gonorrhea or chlamydia from that encounter.  Nobody ever needs further HIV testing if a test is negative at 24 weeks.

HHH, MD